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r <br /> No. 722073 <br /> NDN-HAZARDOUS WASTE DATA FORM <br /> BESI <br /> 264571 <br /> Generators Name and Mailing Address Generator's Site Address(if different than mailing address) <br /> EIMBO BAKERIES USA, INC. SARA LEE (FORMER) <br /> 8550 4''.`. BRYN MAVVR AVE., SUITE 1000 1444 S. LINCOLN ST. <br /> CHICAGO, IL 60031 STS'. CKTON, CA 95206 <br /> Generator's Phone: 7 <br /> Container type removed from site: Container type transported to receiving facility: <br /> W Drums ❑ Vacuum Truck ❑ Roll-off Truck ❑ Dump Truck ❑ Drums j„�i' Vacuum Truck ❑ Roll-offTruck ❑ Dump Truck <br /> ❑ Other ❑ Other <br /> Quantity C9 Quantity Volume �L <br /> 0 <br /> Q <br /> Ir WASTE DESCRIPTION NON-H.AZARDOUS WATER GENERATING PROCESS WELL PURGING /DECON WATER <br /> W <br /> Z COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> IJ..j <br /> 0 1 WATER 99_100% 3- <br /> TPH <1% a. <br /> Waste Profile PROPERTIES: pH 7-10 ❑ sou❑ )(A LIQUID ❑ SLUDGE ❑ swRRY LI OTHER <br /> HANDLING INSTRUCTIONS: <br /> Gunerator Printedfryped Name Signature Month Day Year <br /> Paw 1 ►���,,� ��..� <br /> The Generator oertiries that the waste as described is t00%non-hazardous <br /> Transporter i Company Name Phone# <br /> BELSHI RE 249-460-52130 <br /> LU T sporter 1 PrintedlTyped Name I Signature Month Clay Year <br /> L Transporter Aok dgment❑ eceipt of Materials <br /> 0 Transporter 2 mpany Name Phone# <br /> Q NIETO &SONS TRUCKING, INC. 714-990-08'55 <br /> Transporter 2 PrintedfTyped Name Sign atur Month Day Year <br /> r (0 1 r? <br /> . .- I - �' 0 <br /> 1?_5 1 <br /> Transporter Ackno ria edgment of Receipt of Mates {J <br /> Designated Facility Name and Site Address Phone# <br /> DEMENNO KERDOON 310-537-7100 <br /> J 2600 N. ALflMEDA ST. <br /> Q COMPTON, CA 90222 <br /> t� <br /> 0 <br /> Z <br /> W Printedn)ypedl Name Signature Month Day Year <br /> LU <br /> LL Designated Facility Owner or Operator:certification dif receipt of materials covered by this data form, <br />